Organization
GOLDEN AGE HOUSE ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GALYNA LONC (DIRECTOR)
(386) 237-2026
Entity
Organization
Contact information
Practice address
102 RAE DR, PALM COAST, FL 32164-6894
(386) 237-2026
(386) 237-2026
Mailing address
31 PORT ECHO LN, PALM COAST, FL 32164-6733
(386) 237-2026
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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